Provider Demographics
NPI:1548397953
Name:KLEIN, ULRICH (DMD, DDS)
Entity Type:Individual
Prefix:DR
First Name:ULRICH
Middle Name:
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DMD, DDS
Other - Prefix:DR
Other - First Name:ULRICH
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD, DDS
Mailing Address - Street 1:13123 E 16TH AVE # B240
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-6788
Mailing Address - Fax:720-777-7239
Practice Address - Street 1:13123 E 16TH AVE # B240
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-6788
Practice Address - Fax:720-777-7239
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO85191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42330564Medicaid